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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN M BACCINO, RD

Deactivated

MR. JOHN M BACCINO, RD is a Registered Dietitian healthcare provider located in IRON MOUNTAIN, Michigan. NPI 1770008062 is deactivated in the NPPES registry. Verify at CMS.

Registered Dietitian · IRON MOUNTAIN, MI

This NPI has been deactivated. The record was deactivated on August 6, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1770008062
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2017 (1.9945205479452 yrs)
Last Updated
Sep 7, 2019
Deactivated
Aug 6, 2019
License
164007146 (IL)

Practice Information

Address
325 E H ST # 133
IRON MOUNTAIN, MI, 49801
Browse MI providers · Browse ZIP 49801
Phone
9067743300
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in IRON MOUNTAIN, MI

Name Credential NPI
CLAUDIA E BORNTRAGER CRD 1770565061
CAROL A LEHTO CDR 1225010333
MR. ANTHONY AMICANGELO RD 1194761627
MS. ANDREA L MILLAN CRD CD REGISTERED CE 1861426926
MRS. NANCY ANN WHITENS R.D. 1780619734
MR. PETER EMIL SCHWAGER RD 1942223607
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.